J. Rutowski of Wanakah Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

024197 Issued in NY

Legal business name

J. RUTOWSKI OF WANAKAH INC.

Practice address

S 4923 Lake Shore Rd
Hamburg, NY 14075-5662

Phone

(716) 627-3232

Fax

(716) 627-5018

NPI assigned

Dec 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Francis RutowskiNPI 1205997145

Title

SP

Phone

(716) 627-3232

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wanakah Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Francis Rutowski

  • Pharmacist
  • Hamburg, NY
  • NPI 1205997145
  NPD (past) Authorized official
• Christopher Jeremy Harvey, PHARMD

  • Pharmacist
  • Hamburg, NY
  • NPI 1538757729
  NPD
• Brandon Michael Klimek, PHARMD

  • Pharmacist
  • Hamburg, NY
  • NPI 1174350268
  NPD
• Shawn Powers

  • Pharmacist
  • Hamburg, NY
  • NPI 1972105880
  NPD
• Richard Alfred Wattengel

  • Pharmacist
  • Hamburg, NY
  • NPI 1427373778
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1972664837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4923 LAKE SHORE RD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140755662",
            "telephone_number": "716-627-3232",
            "fax_number": "716-627-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S 4923 LAKE SHORE RD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140755662",
            "telephone_number": "716-627-3232",
            "fax_number": "716-627-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. RUTOWSKI OF WANAKAH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "RUTOWSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "SP",
        "authorized_official_telephone_number": "716-627-3232",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "024197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01934041",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wanakah Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wanakah Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah L Iafallo, ANP
• Frances Renee Ide, MS., ED
• Leia K Ince-Mercer, MD
• Jeremy Ingersoll
• Sarah Insley
• Charles Jack, PH.D.
• Sidney F Jack, DDS
• Jennifer Leigh Jacobs, RN, BSN
• Jamestown Rehab Service PT, OT, SLP, PLLC.
• Heather Janik, MD

• All providers in Hamburg, NY
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.